ETHAN PHAM

TEMPE, AZ
NPI1144954488
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2022-07-12
Last Update Date2023-12-08
Business Address
ETHAN PHAM
1030 E GUADALUPE RD
TEMPE, AZ 85283-3044
Phone number: 480-491-1898
Mailing Address
ETHAN PHAM
2722 N 7TH ST UNIT 8
PHOENIX, AZ 85006-1067
Phone number: 714-908-6037
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